YAVONNA GRACE HODGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164312

License Status

NOT RENEWED

Business

First Name

YAVONNA

Middle

GRACE

Last Name

HODGE

Business Name

YAVONNA GRACE HODGE

Original Issue Date

10/03/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008